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Drug administration via enteral feeding tube in residential care facilities for individuals with intellectual disability : a focus group study on guideline implementation

Elke Joos (UGent) , Inge Van Tongelen (UGent) , Karen Wijnants, Els Mehuys (UGent) , Jan Van Bocxlaer (UGent) , Jean Paul Remon (UGent) , Maria Grypdonck (UGent) , Myriam Van Winckel (UGent) and Koen Boussery (UGent)
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Abstract
People with profound intellectual disabilities often receive medication through enteral feeding tube (EFT). In a previous study, we found that current guidelines concerning medication preparation and administration through EFT are often not followed in residential care facilities (RCFs) for individuals with intellectual disabilities. The present qualitative study aimed to identify barriers and facilitators experienced by RCF staff members to following guidelines on medication administration via EFT, by conducting focus group interviews. Time constraints, lack of knowledge, lack of clear administration instructions, lack of necessary materials, and limited gastric fluid tolerance in certain residents were identified as barriers to following guidelines. Other influencing factors were the number of staff members, residents, and medications; habits; and the residents' comfort and well-being. To optimize care for this vulnerable patient population with EFT, an intervention can be set up focusing on improving staff members' medication-related knowledge and providing clear administration instructions and the necessary materials.
Keywords
barrier, enteral feeding tube, focus group, intellectual disability, medication administration, MEDICATION MANAGEMENT, ERRORS, VIGNETTES

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Chicago
Joos, Elke, Inge Van Tongelen, Karen Wijnants, Els Mehuys, Jan Van Bocxlaer, Jean Paul Remon, Maria Grypdonck, Myriam Van Winckel, and Koen Boussery. 2015. “Drug Administration via Enteral Feeding Tube in Residential Care Facilities for Individuals with Intellectual Disability : a Focus Group Study on Guideline Implementation.” Journal of Intellectual Disabilities 20 (4): 329–340.
APA
Joos, E., Van Tongelen, I., Wijnants, K., Mehuys, E., Van Bocxlaer, J., Remon, J. P., Grypdonck, M., et al. (2015). Drug administration via enteral feeding tube in residential care facilities for individuals with intellectual disability : a focus group study on guideline implementation. JOURNAL OF INTELLECTUAL DISABILITIES, 20(4), 329–340.
Vancouver
1.
Joos E, Van Tongelen I, Wijnants K, Mehuys E, Van Bocxlaer J, Remon JP, et al. Drug administration via enteral feeding tube in residential care facilities for individuals with intellectual disability : a focus group study on guideline implementation. JOURNAL OF INTELLECTUAL DISABILITIES. 2015;20(4):329–40.
MLA
Joos, Elke, Inge Van Tongelen, Karen Wijnants, et al. “Drug Administration via Enteral Feeding Tube in Residential Care Facilities for Individuals with Intellectual Disability : a Focus Group Study on Guideline Implementation.” JOURNAL OF INTELLECTUAL DISABILITIES 20.4 (2015): 329–340. Print.
@article{8545896,
  abstract     = {People with profound intellectual disabilities often receive medication through enteral feeding tube (EFT). In a previous study, we found that current guidelines concerning medication preparation and administration through EFT are often not followed in residential care facilities (RCFs) for individuals with intellectual disabilities. The present qualitative study aimed to identify barriers and facilitators experienced by RCF staff members to following guidelines on medication administration via EFT, by conducting focus group interviews. Time constraints, lack of knowledge, lack of clear administration instructions, lack of necessary materials, and limited gastric fluid tolerance in certain residents were identified as barriers to following guidelines. Other influencing factors were the number of staff members, residents, and medications; habits; and the residents' comfort and well-being. To optimize care for this vulnerable patient population with EFT, an intervention can be set up focusing on improving staff members' medication-related knowledge and providing clear administration instructions and the necessary materials.},
  author       = {Joos, Elke and Van Tongelen, Inge and Wijnants, Karen and Mehuys, Els and Van Bocxlaer, Jan and Remon, Jean Paul and Grypdonck, Maria and Van Winckel, Myriam and Boussery, Koen},
  issn         = {1744-6295},
  journal      = {JOURNAL OF INTELLECTUAL DISABILITIES},
  keyword      = {barrier,enteral feeding tube,focus group,intellectual disability,medication administration,MEDICATION MANAGEMENT,ERRORS,VIGNETTES},
  language     = {eng},
  number       = {4},
  pages        = {329--340},
  title        = {Drug administration via enteral feeding tube in residential care facilities for individuals with intellectual disability : a focus group study on guideline implementation},
  url          = {http://dx.doi.org/10.1177/1744629515605943},
  volume       = {20},
  year         = {2015},
}

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